Individual
JOHN WYATT MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 S PRESTON ST, RANSON, WV 25438-1631
(304) 728-1600
Mailing address
PO BOX 599, SPENCERVILLE, MD 20868-0599
(877) 504-7362
(949) 862-5121
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3237
WV
207L00000X
Anesthesiology Physician
DO2168
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
3237
WV
207Q00000X
Family Medicine Physician
2168
TN
208D00000X
General Practice Physician
2168
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520769
—
TN
Enumeration date
06/19/2007
Last updated
01/17/2025
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